| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.65 | $74.65 | $74.65 | |
Aetna
| Professional | $51.24 | $73.86 | $84.20 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Emblem Health
| Professional | $103.94 | $103.94 | $103.94 | |
Horizon BCBS
| Professional | $71.63 | $84.27 | $86.73 | |
United
| Professional | $57.62 | $86.20 | $147.33 |